综合性ICU医院感染的目标性监测分析  

Target surveillance and analysis of nosocomial infection in comprehensive ICU

作　　者：张为华[1] 易光兆[1] 袁喆[1] 黄文祥[1] 杜渝平[1] 苏小琴[1] 

机构地区：[1]重庆医科大学附属第一医院院感科,400016

出　　处：《重庆医学》2011年第34期3457-3459,共3页Chongqing medicine

摘　　要：目的动态了解综合性ICU医院感染发病率及相关导管感染率,采取防控措施。方法制订ICU目标性监测方案,设计医院感染的个案监测和ICU日志表格,对2010年1～12月入住综合性ICU的患者进行前瞻性调查,对监测资料进行分析、总结,并及时将监测结果反馈到临床科室,针对性地进行干预控制。结果 2010年共调查805例患者,发生医院感染73例(9.07%),患者日感染率(例次)为21.23‰。呼吸机相关肺部感染率为20.41‰,导管相关血液感染率为1.59‰,尿管相关尿路感染率为3.57‰。医院感染以肺部感染为主。结论 ICU目标性监测能及时发现医院感染管理的薄弱环节,适时制订有效的感染控制措施,是一种科学、有效的监测方法。Objective To understand dynamically the morbidity of nosocomial infection and the related catheter infection rate in comprehensive ICU,and to take prevention and control measures.Methods Patients hospitalized in comprehensive ICU from January to December 2010 were prospectively investigated by formulating ICU target surveillance scheme and designing case surveillance of nosocomial infection and ICU log form.The surveillance data were analyzed and summarized,and the results were fed back to clinical departments for conducting target intervention.Results A total of 805 patients were investigated in 2010 with nosocomial infection in 73 cases（9.07%）.The nosocomial infection incidence per patient-day was 21.23‰,with 20.41‰ for breathing machine related lung infection rate,1.59 ‰ for catheter related blood infection rate and 3.57 ‰ for urinary catheter related urinary tract infection rate.Pulmonary infection was the major nosocomial infection.Conclusion ICU target surveillance is a scientific,effective method which can find weaknesses in management of nosocomial infection and work out effective infection control measure timely.

关 键 词：重症监护病房 感染 前瞻性研究 

分 类 号：R181.3[医药卫生—流行病学]